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HomeMy WebLinkAbout05-4144 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 MOBILE HOME SET-UP 4144 4144 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: 4/25/2005 Total Fees: 4,442.58 Amount Paid: 4,442.58 Date Paid: 4/25/2005 Work Desc: M.H SET UP Address: 37413 LILLY BEAAVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: GRAND HORIZONS L2. Address: 37413 QtEL AvE. "L///'1/:/ef1 t4c/,. ZEPHYRHILLS, FL. 33542 Phone: ACE AIR CONDITIONING & ELEC. BUTTERFIELD MOBILE HOME SERVICE ACE REFRIGERATION INC MOBILE HOME SET-UP MOBILE HOME MECHANICAL MOBILE HOME TIFISUB 99% WATER METER RES 3/4" IRRIGATION CONNECTION FIRE IMPACT FEE PUBLIC SAFETY 5% I IL 60.00 WATER CONNECTION MOBILE HC 35.00 MOBILE HOME PLUMBING 1.572.12 MOBILE HOME TIF/SUB 1% 180.00 IRRIGATION METER 175.00 PARK FEES MH 273.00 POLICE IMPACT FEE 26.35 209.50 40.00 15.88 180.00 573.73 254.00 9~'. 3 /J(/t5~~ /:~ REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. X, UJ'7 -/JifT7P IJ ~ ~ CONT_URE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED 'lh2/0 $- PHONE CONTACT FOR PERMITTING IJ J J Urar>d r/Dy,.2o V] JOB ADDRESS . J '74/3 II'II!) 8ea, A \Ie LEGAL DESCRIPTION: LOT(S) OWNER'S NAME PHONE Lof /0; BLOCK SUBDIVISION PARCEL ID # IOBTAIN FROM PROPERTY.TAX NOTICE) OSIGN PROPOSED USE: OSGL FAMILY DWELLING D COMMERCIAL o ADDITION o MOVE o ALTERATION o REPAIR o INSTALL WORK PROPSED: []NEW CONSTRUCTION o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL uvCOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL BUILDING SIZE M f( . 3) XSl 5J~ DESCRIPTION OF WORK SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy D W.R.E.C. D PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER padme~s ~o pa~u1~d 'padh~ ameN padmg~s ~o pa~u1~d 'padh~ amgN ~uam6palMou~oe 6u1~g~ uos~ad JO a~n~eu61S ~uama6paTMou~oe 6uT~E~ uosJad JO a~n~gu61S t.{~gO ue a~-e~ ~ou PHCl P1PO Ot.{M pu-e (uoL~-eo1J1~uap1 JO adh~) . paonpo~d set.{ Ot.{M 0 . t.{~-eo u-e a~-e~ ~ou P1P 0 P1P OO~M pue (u01~eoTJ1~uap1 JO adh~) paonpo~d Sgt.{ ot.{MO JO 'am o~ UMOU~ hll-euos~ad s1 Ot.{~ (pa6palMou~Og uos~ad JO am-eu) ~O 'am o~ UMOU~ hlleuos~ad s1 ot.{MO (pa6palMou~oe uos~ad Joam-eu) hq ---"()z ' JO hgp - s1t.{~ am a~oJas pa6palMou~OE seM ~uawnJ~SU1 6u106aJoJ at.{~ ao ^~NOO:J hq _ 02 ' JO hgp- s1t.{~ am aJoJaS na6paTMOU~O-e S-eM ~uamn~~su1 6u106aJoJ at.{~ A. NOTI~E OF DEED RESTRICTIONS Tha undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Cohtractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. .If the contractor wishes you to sign as contractor that may be an indica~ion that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, .AS AMENDED) I certify that Ii the applicant, haye been provided with a copy of "Florida's Construction lien Law - Homeowner's.Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical.c~des, nor shall issuance of a permit prevent the Building Official from thereafter requ1r1ng a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance or if work authorized by the permit is suspended or abandoned for 'a period of.six months after the time the work is commenced. One 90 d~y extension of time may be allowed for the permit with fee charge of $15.00. The extens10n shall b~ requeste~ in writing to'the Building Official. An approved inspection must be logged dur1ng each SlX month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA STATE OF FLORIDA (YHlN'T'Y OF / I(;t) L.LL5~ dlcVI 1~ VT w 1..0 T 3 7~/3 , 1 1< 70 . ~I~ 3J. '~/f~a' , I? I I I J 7 mo6,'lc I/o",e -i SIfEJ /,t.' sr' '::r- ~ ~ Sf ~ >1 " 7" /9 J' t./L{ y 6~A- I ~ ~ ,. '1M ". , . , C'AsE~~NT \t' ~R . p~ dr!n.J';' k9-- I y-.;r [D - ~!fD; ? 11~ tl tt; PASCO COUNTY, FLORIDA Permit No. '-III( t/ Date Permitted t-; ~ z (; ~ (J S Builder Name/Owner Name {J~ ~Jn Control # County Pafcel No. .34-- A .5"- ~ , - () oC/a... cB 90 o'9S'SubDiv: ..(J"<"'l'J. '^&. ~ \~~V\.6' Address/Location 37'-/ I 3 Li n~(3e~ ,4/Je.,. ClassificationfType of Us~ l'to/;; /-e... ~ TRANSPORTATION IMPACT FEE Rate: Exempt ~. ~ No How Determined ~ Impact Fee Amount $ I SOD .- Zone No. SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential ..J123) C.Q!!eptlon Fee Exempt ~ Yes Lj"No How Determined Sq Ft Unit: TAZ: PARKS AND RECREATION FEE Land Account Land Credit Amount $ Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ 5-r; 3,73 ~ DNo Exempt How Determined LIBRARY FEE Land Account Land Credit Total Facility Account Facility Total How Determined Total Amount RESOURCE FEE TOTAL AMOUNT ERU ~_ 2JI Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and th~ conditions of payment for same. 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